Please Note: There is no Medicare information on our corporate website. Please select a specific contract in the 'Search Within' box for Medicare related information.
© 2019 Palmetto GBA, LLC
We frequently update our articles to reflect the latest changes and updates to Medicare, and strongly recommend you visit this article at link below to confirm you have the latest version.
Printed Date: 9/22/2015
Providers are required to complete a Medicare Secondary Payer Questionnaire (MSPQ) upon admission of each Medicare patient. A sample of the MSPQ can be found in the Centers for Medicare & Medicaid Services’ (CMS) Internet-Only Manual (IOM), Publication 100-05, Medicare Secondary Payer Manual, Chapter 3, Section 20.2.1 (PDF, 252 KB). Hospitals are required to verify the information at least every 90 days. However, Palmetto GBA encourages all institutional providers to verify the information on a regular basis because payer sources can change at any time.
Upon completing the MSPQ, providers may then access MSP Lookup to get an idea as to whether or not Medicare is the primary or secondary payer. Providers should also access the Health Insurance Query for Home Health Agencies (HIQH) or Health Insurance Query Access (HIQA) to view any valid MSP segments that may exist on the Common Working File (CWF). Providers may also wish to access the eServices on Palmetto GBA's website to view any valid MSP segments that may exist in a beneficiary’s Medicare records.
We value your opinion and want to provide the highest-quality and most relevant Medicare knowledge possible. Please let us know if this article was helpful.
It didn't answer my question
This article was helpful
We’re glad we could help you today and appreciate your feedback. When you rate our articles as most helpful, we know that we are on the right track for providing you with important news and information.
We're sorry this article didn't help you today. We'll use your feedback to review this article to try to revise or expand it. Contact us with more feedback or a question on this topic.
Last Updated: 04/17/2019